Healthcare Effectiveness Data and Information Set (HEDIS) File 2: Plan All-Cause Readmission (PCR) Measure

The HEDIS Medicare Advantage Plan All-Cause Readmissions (PCR) File (referred to as File 2 in the file name) is a patient-level file that contains all variables pertinent to the PCR measure. There is a separate record for each acute inpatient hospital discharge during the year.

What does this file include? (variable highlights)

  • Readmission indicator
  • Chronic condition weight

Each record represents a hospitalization for a beneficiary in the calendar year (CY). Beneficiaries with multiple hospitalizations will have multiple records in this file.

Beneficiaries can be linked to other beneficiary data via the BENE_ID and to plan information via the HEDIS_CONTRACT_ID and HEDIS_PLAN_ID variables.

Availability of this file

MY 2015-2020*

*There was no HEDIS data submission requirement for the 2019 measurement year due to the COVID-19 pandemic.

The contents of the data vary by measurement year and source of data. CMS records can change annually. CCW is the data source.

See what is in this file